House
Study
Bill
510
-
Introduced
HOUSE
FILE
_____
BY
(PROPOSED
COMMITTEE
ON
STATE
GOVERNMENT
BILL
BY
CHAIRPERSON
KAUFMANN)
A
BILL
FOR
An
Act
relating
to
the
elimination
of
surgical
smoke
by
1
hospitals
and
freestanding
ambulatory
surgical
centers.
2
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
3
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_____
Section
1.
NEW
SECTION
.
135.29A
Smoke
evacuation
system
——
1
requirements.
2
1.
As
used
in
this
section,
unless
the
context
otherwise
3
requires:
4
a.
“Ambulatory
surgical
center”
means
an
outpatient
surgical
5
facility
as
defined
in
section
135.61.
6
b.
“Smoke
evacuation
system”
means
smoke
evacuators,
laser
7
plume
evacuators,
or
local
exhaust
ventilators
that
capture
and
8
neutralize
plume
at
the
site
of
origin
and
before
plume
can
9
make
ocular
contact
or
contact
with
the
respiratory
tract
of
a
10
person.
11
c.
“Surgical
smoke”
means
the
by-product
from
the
use
of
12
energy-generating
devices
including
surgical
plume,
smoke
13
plume,
bioaerosols,
laser-generated
airborne
contaminants,
and
14
lung-damaging
dust.
15
2.
In
order
to
protect
patients
and
health
care
workers
16
from
the
hazards
of
surgical
smoke,
each
hospital
as
defined
17
in
section
135B.1
and
freestanding
ambulatory
surgical
center
18
in
this
state
shall
adopt
policies,
no
later
than
July
1,
19
2021,
to
ensure
the
elimination
of
surgical
smoke
through
20
the
use
of
a
smoke
evacuation
system
for
each
procedure
that
21
generates
surgical
smoke
through
the
use
of
energy-based
22
devices
including
but
not
limited
to
electrosurgical
devices
23
and
lasers.
24
3.
The
department
of
public
health
shall
adopt
rules
25
pursuant
to
chapter
17A
to
administer
this
section.
26
EXPLANATION
27
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
28
the
explanation’s
substance
by
the
members
of
the
general
assembly.
29
This
bill
requires
each
hospital
and
freestanding
ambulatory
30
surgical
center
in
the
state
to
adopt
policies,
no
later
than
31
July
1,
2021,
to
ensure
the
elimination
of
surgical
smoke
32
through
the
use
of
a
smoke
evacuation
system
for
each
procedure
33
that
generates
surgical
smoke
through
the
use
of
energy-based
34
devices
including
but
not
limited
to
electrosurgical
devices
35
-1-
LSB
5621YC
(2)
88
pf/rh
1/
2
H.F.
_____
and
lasers.
The
bill
defines
“ambulatory
surgical
center”,
1
“smoke
evacuation
system”,
and
“surgical
smoke”
for
the
2
purposes
of
the
bill
and
requires
the
department
of
public
3
health
to
adopt
administrative
rules
to
administer
the
bill.
4
-2-
LSB
5621YC
(2)
88
pf/rh
2/
2